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NPI Code Detail

MEDICARE: URBAN MIDWIFERY

MEDICARE: URBAN MIDWIFERY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QB0400XBirthing Clinic/Center

General Provider Information

NPI Number : 1174396402
Entity Type Code : Organization
Provider Name (Legal Business Name) : URBAN MIDWIFERY
Provider Business Mailing Address
First Line : 5622 W PALMAIRE AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85301-2510
Country : US
Telephone Number : 623-748-4655
Fax Number : 602-926-0999
Provider Business Practice Location Address
First Line : 5622 W PALMAIRE AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85301-2510
Country : US
Telephone Number : 623-748-4655
Fax Number : 602-926-0999
Authorized Official
Title or Position : BILLING DIRECTOR
Name : ELIZABETH SEPULVEDA
Credential :
Telephone Number : 623-745-4577
Provider Enumeration Date : 10/30/2023
Last Update Date : 05/29/2025

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Directions to “URBAN MIDWIFERY ” Practice Location

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